Director, Clinical Pharmacy and Utilization Management
|
|
- Logan Melton
- 8 years ago
- Views:
Transcription
1 Director, Clinical Pharmacy and Utilization Management Tufts Health Plan Watertown, MA January 2014
2 Summary Tufts Health Plan (Tufts) seeks a Director of Clinical Pharmacy and Utilization Management to strategically lead a very important part of its organization. The Opportunity Tufts Health Plan is a health plan known for its progressiveness and for its high quality work environment, having been repeatedly named as one of the Great Places to Work by the Boston Business Journal. See This high visibility position is an opportunity to provide strategic leadership and farsighted vision in designing and managing the formularies and programs for our pharmacy benefit, as well as utilize operational skill in improving efficiencies and synergies with other departments. The Organization Founded in 1979 as a not-for-profit health maintenance organization, Tufts Health Plan is one of the nation s most highly rated health plans. The company is distinguished for providing an outstanding member experience and access to quality care. Tufts Health Plan offers a broad array of health care coverage options to individuals and employer groups. Through diverse product offerings, the plan covers members regionally and across the country. Its tagline No one does more to keep you healthy expresses a core commitment to offering plan members innovative tools and resources that engage them in enhancing their health and well-being, and managing health care costs. With over one million members, Tufts Health Plan is a significant player in its market and continues to strengthen its position. Tufts Health Plan features a fast-paced work environment, a high percentage of long term employees and an open and welcoming culture. Tufts Health Plan is a leader in advancing public policy discussions on several issues: prevention and wellness, affordability, and removing obstacles to accessibility. From traditional HMO and PPO plans to national, tiered and limited network plans, Tufts Health Plan provides quality health care coverage across the spectrum of an individual s needs. A historical perspective: In November 2011, Tufts Health Plan acquired Network Health, a managed Medicaid plan, making it one of only a few insurers in Massachusetts to offer commercial, Medicare and Medicaid coverage. In mid-2011, Tufts Health Plan developed two new product offerings aimed at providing quality, affordable health care coverage: o o The Your Choice Tiered Network Option plan Steward Community Choice, a limited-network, community-based plan developed in conjunction with Steward Health Care System In 2009, Tufts Health Plan entered the Rhode Island health insurance market with a suite of HMO, PPO, and deductible plans. Tufts Health Plan Medicare Preferred, a Medicare Advantage plan, offers health care coverage options for Medicare beneficiaries and retirees. Since 1998, Tufts Health Plan has had the highest enrollment in the state in Medicare Advantage plans, totaling more than 100,000 members. In December 2004, Tufts Health Plan joined forces with CIGNA to offer CareLink, a national, open-access health plan that gives multi-state employers the advantage of working with 2
3 experienced health care leaders committed to helping them achieve affordable coverage for all employees regardless of where they live. Quality Performance In 2012, Tufts Health Plan was the top-ranked commercial Preferred Provider Organization (PPO) plan in the country and fourth highest ranked overall by the National Committee of Quality Assurance (NCQA). Its commercial Health Maintenance Organization/Point-of-Service Option (HMO/POS) combined product was ranked No. 2 in the nation. This is the ninth consecutive year that Tufts Health Plan has been ranked among the top health plans by NCQA (NCQA s Health Insurance Plan Rankings Private). Since 1999, these products have achieved the highest possible accreditation status from the NCQA for consumer protection, quality improvement and clinical effectiveness. In its quality ratings analysis, the Center for Medicare and Medicaid Services (CMS), reviewed 45 unique quality metrics to award Tufts Medicare Preferred HMO plans 4.5 out of 5 stars for This ranking puts the plan among the top five percent of Medicare Advantage plans nationwide. Corporate Citizenship Founded in 2008, the Tufts Health Plan Foundation s mission is to promote healthy lifestyles and deliver quality health care in our communities. The foundation s focus is Healthy Aging improving the lives of adults ages 60 and older. The foundation funds more than $2 million annually in grants to nonprofit organizations throughout Massachusetts and Rhode Island to elevate the well-being of older adults and help them live healthier lives. For seven consecutive years, the U.S. Environmental Protection Agency has awarded Tufts Health Plan the ENERGY STAR label for superior energy performance at its Watertown headquarters. Tufts Health Plan was the first health care organization in New England to earn the ENERGY STAR label. Tufts Health Plan also has earned the Best Workplace for Commuters designation from the EPA. In June 2013, Tufts Health Plan earned a Best Employers for Workers Over 50 award from AARP and the Society for Human Resources Management. In November 2012, Tufts Health Plan earned a 10th place ranking among participating large Massachusetts employers in The Boston Globe Top Places To Work and was the highest ranked health insurance organization in the survey. Tufts Health Plan received the Leaders in Diversity award from the Boston Business Journal in October 2011 for building a diverse workforce that is reflective of the communities it serves. Fast paced, professional office environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Must possess the ability to react quickly and calmly under pressure. Requires the mental ability to deal with complex situations and individuals in distress. The Position The Director of Clinical Pharmacy and Utilization will lead the development and implementation of formulary and pharmacy programs for all Tufts Health Plan products and plans, including Commercial and Medicare Advantage. He or she will direct the contracting, budgeting, and management of home infusion and specialty pharmacy networks, and oversee pharmacy utilization management (including coverage determinations, exception reviews, and oversight of all operational activities) consistent with 3
4 Federal and State regulatory and accreditation standards. This Director will work with the Director of Analysis & Reporting to develop budget assumptions, select metrics for reporting, and interpret/analyze performance. S/he will interpret and comply with regulatory and accreditation requirements for formulary and pharmacy programs. The position will establish priorities and identify new initiatives that are consistent with corporate strategy and business plans. This position: Directs the development and maintenance of the formulary and pharmacy programs, including the Commercial, Medicare Preferred, and Generic Focused formularies. Directs the annual review of all formularies and pharmacy programs, including a competitive analysis, cost-benefit review of programs, and trend review by therapeutic class. Works with Pharmacy Benefit Manager (PBM) to monitor pharmacy spend and performance in order to identify opportunities for improved management. Directs pharmacy utilization management, including coverage determinations, exception reviews, and operational oversight, consistent with Federal and State regulatory and accreditation standards. Directs the contracting, budgeting, and management of Home Infusion and Specialty Pharmacy networks. Monitors industry trends and evolving reimbursement methodologies to identify potential opportunities. Works with the Director of Analysis & Reporting to develop budget assumptions, select metrics for reporting, and interpret/analyze performance. Develop quarterly dashboard reports that identify cost drivers, management opportunities, and status of initiatives. Identifies initiatives for medical cost reduction, administrative cost reduction and/or market competitiveness. Directs the business evaluation implementation through collaboration and communication with other departments. Represents Pharmacy Services at inter-departmental meetings and on projects. Identifies implications for Pharmacy Services department and facilitate/coordinate follow-up with others in the department. Disseminates information and provide periodic updates as needed. The Candidate The right candidate for this position will be a true leader with a ten year track record of success in management, program development and implementation, contract management and budget development. S/he must have a clinical background (ideally a PharmD, RPh or RN), and ideally Masters level education. Experience in contracting/provider relations, with a fundamental knowledge of health care delivery system, provider reimbursement methodologies, and health policy issues is required. S/he must have extensive knowledge of medical services and professions, health-related issues, and health care regulations. The right candidate should: Have keen analytic and quantitative skills necessary to interpret pharmacy utilization and cost trends, contracts, and payment methodologies. Ability to analyze/interpret performance metrics, regulatory requirements, and statutory/legal language. Demonstrate the ability to critically assess new programs and services, and their impact on formulary management and operations. Subsequently, be able to initiate, formulate and direct the implementation of new policies and programs. Possess the interpersonal and political skills to direct a department charged with making contractual and operational decisions across multiple products and services. Show considerable organizational and management ability, which is necessary to simultaneously conduct a diversity of complex projects in a complex organization. 4
5 Convincingly demonstrate strong leadership skills, with the able to guide and inspire others. Knowledge of health plan and pharmacy benefit manager (PBM) operations, with ability to broker compromise and/or innovative solutions to performance challenges and/or new requirements. Be a strong negotiator. Personal characteristics include: The ability to consistently build strong working relationships with colleagues A practical and pragmatic business sense, leading to strong problem-solving skills The ability to think and plan strategically Politically astute, flexible, and adaptable, anchored by common sense and good judgment Possess exceptional staff management and mentoring skills Comfort with ambiguity and calculated risks A goal-directed, bottom-line results orientation The tools to thrive in a highly complex organizational structure Projecting a strong, credible personal presence that will engender confidence among internal staff and providers Being action oriented, with the ability to make decisions High energy, with the ability to thrive in a fast-paced environment Initiative Exceptional oral and written communication skills, including public speaking Commitment to high standards and continually striving for improvement Being both a collaborative team player and an effective team leader Thriving in a fast-paced environment and sometimes in pressured situations. Critical Success Factors The Director will: Build strong and sustainable relationships and gain the personal credibility required to interact and influence across departments Execute on pharmacy-specific objectives in the 2014 corporate business plan Nurture the ongoing and successful staff harmony and morale that has been a hallmark of the department Inspire and motivate the staff to implement the changes necessary to operate efficiently and successfully in the new healthcare environment. Compensation A compensation package will be constructed commensurate with the background and experience of the selected candidate. Most significant is the opportunity to join a dynamic company in a critically important role. 5
6 For More Information We welcome all referrals. Interested parties please send resume and cover letter to For additional questions please contact Jackie Rosenthal or Jeff Zegas at All contact with our office will remain confidential. Equal Employment Opportunity Tufts Health Plan is committed to developing an atmosphere that respects and values each employee's individuality. It is the policy of Tufts Health Plan to: Recruit, hire, train and promote persons in all job titles, without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability, or veteran status; Base decisions on employment to further the principle of equal employment opportunity; Ensure that promotion decisions are in accord with principles of equal employment opportunity by imposing only valid requirements for promotional opportunities; Ensure that all personnel actions such as compensation, benefits, transfers, companysponsored training, education, tuition assistance, and social and recreation programs will be administered without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability, or veteran status. 6
Chief Medical Officer Neighborhood Health Plan of Rhode Island Providence, RI
Chief Medical Officer Neighborhood Health Plan of Rhode Island Providence, RI September 2012 Summary Neighborhood Health Plan of Rhode Island, a network model HMO serving four Medicaid populations in the
More informationAssociate Chief Financial Officer Commonwealth Care Alliance Boston, MA
Associate Chief Financial Officer Commonwealth Care Alliance Boston, MA Position Specification July 2014 The Summary Commonwealth Care Alliance is seeking an Associate Chief Financial Officer (ACFO) for
More informationBlue Cross Blue Shield of Massachusetts Chief Physician Executive Boston, MA
Blue Cross Blue Shield of Massachusetts Chief Physician Executive Boston, MA Position Specification August, 2015 The Opportunity Blue Cross Blue Shield of Massachusetts ( BCBSMA or the Company ), New England
More informationChief Executive Officer
Position Specification Chief Executive Officer Massachusetts Health Data Consortium Waltham, MA May 2012 1 Massachusetts Health Data Consortium Chief Executive Officer The Opportunity The Massachusetts
More informationChief Integrity and Compliance Officer. St. Joseph s Hospital and Health Center Syracuse, New York
Chief Integrity and Compliance Officer St. Joseph s Hospital and Health Center Syracuse, New York Position Specification June 2016 400 TradeCenter, Suite 5900, Woburn, MA 01801 781-938-1975 www.zurickdavis.com
More informationBoston University School of Public Health Position Description: Dean of the School of Public Health
Boston University School of Public Health Position Description: Dean of the School of Public Health Position: Location: Position Summary: Dean Boston University School of Public Health Boston, Massachusetts
More informationWe re Tufts Health Plan the #1 Health Plan in the Country.*
We re Tufts Health Plan the #1 Health Plan in the Country.* * Rankings according to the National Committee for Quality Assurance s (NCQA s) Private Health Insurance Plan Rankings 2014 2015, HMO/POS Tufts
More informationThis position, which reports immediately to the Program Director, is one-year grant funded initially, full-time, salaried, exempt, and with benefits.
307 Fourth Avenue, Suite 1500 Pittsburgh, PA 15222 November 6, 2015 Position Title Sustainable Business Program Manager, Sustainable Pittsburgh General Description The Sustainable Business Program Manager
More informationWe work every day to protect investors.
FINRA at Work FINRA has offered me incredible opportunities to help protect the investing public. Every day, I am challenged by keeping up with the ever-changing securities market and working with colleagues
More informationJoin Spark & lead a proven program that s poised for growth. PROGRAM COORDINATOR Spark Bay Area San Francisco/Oakland/Bayview
Work differently. Join Spark. Are you ready to work for a different type of nonprofit? Spark offers rewarding careers for hardworking professionals who want to bridge the opportunity gap for underserved
More informationHUMAN SERVICES MANAGEMENT COMPETENCIES
HUMAN SERVICES MANAGEMENT COMPETENCIES A Guide for Non-Profit and For Profit Agencies, Foundations and Academic Institutions Prepared by: Anthony Hassan, MSW, Ed.D. William Waldman, MSW Shelly Wimpfheimer,
More informationPosition Description BUSINESS ASSOCIATE PROGRAM CLASS OF 2015 THE COMPANY OUR CULTURE GROWTH AND DEVELOPMENT BUSINESS ASSOCIATE ROLES
BUSINESS ASSOCIATE PROGRAM CLASS OF 2015 THE COMPANY Tracing our roots to 1928, Wellington Management Company, LLP is one of the world s largest independent investment management firms. With US$904 billion
More informationSAN JACINTOCOLLEGE JOB DESCRIPTION
SAN JACINTOCOLLEGE JOB DESCRIPTION TITLE: DEPARTMENT: Vice Chancellor, Human Resources Human Resources SECURITY SENSITIVE: Yes FLSA STATUS 1 : Exempt GRADE: 45 FUNCTION: As a member of the strategic leadership
More informationCalifornia Department of Public Health
California Department of Public Health The California Department of Public Health is dedicated to optimizing the health and well-being of the people in California. Governor s Exempt Appointment The California
More informationOffice of Personnel Management
United States Office of Personnel Management The Federal Government s Human Resources Agency Multi-State Plan Program Issuer Letter Number: 2014-002 Date: February 4, 2014 Subject: Multi-State Plan Program
More informationCalifornia State University, Fresno
California State University, Fresno Human Resources Vacancy # 12717 Associate Vice President for Human Resources (Administrator IV) Overview: Under the general direction of the Vice President for Administration,
More informationEXECUTIVE DIRECTOR Job Description. About CASA. Position Summary
About CASA CASA is a Community Benefit Organization, tax-exempt 501(c) 3 corporation established to advocate for abused and neglected children in the Juvenile Court process. CASA provides abused and neglected
More informationLEGAL. Laws Affecting Equal Employment Opportunity. Certificate in Diversity Management
LEGAL Laws Affecting Equal Employment Opportunity 1 Legal Considerations Copyright 2012 Pearson Education, Inc. publishing as Prentice Hall Federal, state, and local legislation Court decisions Presidential
More informationUNIVERSITY OF COLORADO DENVER Job Description
UNIVERSITY OF COLORADO DENVER Job Description Director of Finance and Administration Linda Crnic Institute for Down Syndrome, School of Medicine, University of Colorado Denver Position Number: 698101 About
More informationWorkers Compensation Claims Supervisor
Career Service Authority Workers Compensation Claims Supervisor Page 1 of 6 GENERAL STATEMENT OF CLASS DUTIES Supervises and directs the work of a unit of claims adjusters. DISTINGUISHING CHARACTERISTICS
More informationPOSITION NARRATIVE Vice President of Policy & Strategy First 5 LA
BACKGROUND POSITION NARRATIVE Vice President of Policy & Strategy First 5 LA First 5 LA is a leading early childhood advocate organization created by California voters to invest Proposition 10 tobacco
More informationThe Pediatric Physicians Organization at Children s Chief Information Officer Boston, MA
The Organization The Pediatric Physicians Organization at Children s Chief Information Officer Boston, MA The Pediatric Physicians Organization at Children s (PPOC) is one of the largest pediatric physician
More informationTherapist Supervisor
Career Service Authority Therapist Supervisor Page 1 of 6 GENERAL STATEMENT OF CLASS DUTIES Performs supervisory duties over professional mental health therapists engaged in performing a variety of social
More informationLas Vegas Chamber of Commerce Group Health Benefits Program LVCC
Las Vegas Chamber of Commerce Group Health Benefits Program LVCC The LVCC Group Health Benefits Program Adds Value to Chamber Membership Providing quality and affordable health insurance has never been
More informationHealth Resources in Action, Inc. Web and Social Media Manager Position Announcement October 2014
Health Resources in Action, Inc. Web and Social Media Manager Position Announcement October 2014 95 Berkeley Street, 2 nd Floor Boston, MA 02116 617.451.0049 Fax 617.451.0062 TTY: 617.451.0007 www.hria.org
More informationThe Catholic Health Initiatives 2016 Internship Program will take place June 6 August 10, 2016 at our headquarters office in Englewood, CO.
CHI Graduate Intern Job Description CHI Graduate Intern leads projects for senior management in a variety of operational and strategic initiatives that have system-wide impact. As a graduate intern, you
More informationEXHIBIT CC. Identifying Management Level Knowledge, Skills and Abilities. Executive Core Competencies (ECCs)
EXHIBIT CC Identifying Management Level Knowledge, Skills and Abilities Executive Core Competencies (ECCs) ECC One: Leading Change ECC Two: Leading People ECC Three: Results Driven ECC Four: Business Acumen
More informationA BILL. To provide a single, universal, comprehensive health insurance benefit for all residents of Illinois, and for other purposes.
Synopsis: This bill expands comprehensive health coverage to all Illinois residents using a single-payer statewide insurance system. Doctors and hospitals remain private, and patients retain their choice
More informationAdministrative Director of Health Information Management Loyola University Health System Maywood, Illinois
Administrative Director of Health Information Management Loyola University Health System Maywood, Illinois Position Specification April 2015 Summary Loyola University Health System (LUHS) is seeking an
More information2016-17 POSITION DESCRIPTIONS
2016-17 POSITION DESCRIPTIONS The following information describes the positions offered by the Center for Sustainability Education (CSE) for 2016-17. For all positions, students of all majors are encouraged
More informationFormulary Management
Formulary Management Formulary management is an integrated patient care process which enables physicians, pharmacists and other health care professionals to work together to promote clinically sound, cost-effective
More informationAppendix A. Educational Policy and Accreditation Standards
Appendix A Educational Policy and Accreditation Standards A new Educational Policy and Accreditation Standards has been approved by the CSWE Board of Directors in April 2008. Preamble Social work practice
More informationSIMMONS.EDU/SOM/EXECED 1. Leadership development programs that have a lasting impact on women leaders and their organizations
SIMMONS.EDU/SOM/EXECED 1 Leadership development programs that have a lasting impact on women leaders and their organizations SIMMONS COLLEGE BOSTON MASSACHUSETTS SIMMONS EXECUTIVE EDUCATION 2 SIMMONS.EDU/SOM/EXECED
More informationWELCOME TO A NEW ERA IN HEALTH CARE COVERAGE FOR TENNESSEE.
WELCOME TO A NEW ERA IN HEALTH CARE COVERAGE FOR TENNESSEE. Quality Health Plans for Individuals and Families in Tennessee. TABLE OF CONTENTS INTRODUCTION...1 Who are we?... 1 What is a CO-OP?...1 Our
More informationthat meet retirees needs. by Jane S. Funk benefits magazine january 2015 MAGAZINE
Selecting Pa Employers and individuals have several options for retiree medical and prescription coverage. This article is aimed at helping plan sponsors find the most costeffective options that meet retirees
More informationRIO HONDO COMMUNITY COLLEGE DISTRICT
RIO HONDO COMMUNITY COLLEGE DISTRICT DIRECTOR OF HUMAN RESOURCES DEFINITION Under general administrative direction, to provide leadership and direction; to plan, manage, and oversee the activities and
More informationDean of the College of Pharmacy and Health Sciences
1 Dean of the College of Pharmacy and Health Sciences Texas Southern University invites nominations and applications for the position of Dean of the College of Pharmacy and Health Sciences (COPHS). Reporting
More information2. Educational Policy and Accreditation Standards
2. Educational Policy and Accreditation Standards Preamble Social work practice promotes human well-being by strengthening opportunities, resources, and capacities of people in their environments and by
More informationCOMMUNITY COLLEGE SYSTEM OF NEW HAMPSHIRE. These policies may be amended at any time and do not constitute an employment contract.
COMMUNITY COLLEGE SYSTEM OF NEW HAMPSHIRE Section: BOT 300 Human Resources Date Approved: December 20, 2007 Effective Date: January 1, 2008 Amended Date: April 11, 2014 These policies may be amended at
More informationEducational Policy and Accreditation Standards
Educational Policy and Accreditation Standards Copyright 2001, Council on Social Work Education, Inc. All rights reserved. Sections renumbered December 2001, released April 2002, corrected May 2002, July
More informationWHAT S DRIVING GROWTH IN YOUR PLAN
WHAT S DRIVING GROWTH IN YOUR PLAN Where are new members coming from? Enrollment in Medicare Advantage (MA) plans continues to grow do not miss out on what is fueling this growth. It is not just about
More informationMedical Practice Development Consulting Services
Page 1 of 7 Medical Practice Development Consulting Services Scope-of-Services Proposed Facility Construction & Equipment o Facilities and Equipment - STAT will provide build-out project management oversight
More informationInternal Title: Director of Clinical Training Exemption Status: Exempt
Internal Title: Director of Clinical Training Exemption Status: Exempt External Published Title: Director of Clinical Training By signing this job description I,, (print employee full legal name) understand
More informationCornerstone Counseling Center of Chicago Employment Opportunities Spring 2014
Cornerstone Counseling Center of Chicago Employment Opportunities Spring 2014 Organization Description: Cornerstone Counseling Center of Chicago (CCCOC) is a full service psychological and counseling agency
More informationMedical Group Management Association and American College of Medical Practice Executives
Medical Group Management Association and American College of Medical Practice Executives President/Chief Executive Officer Position Profile January 2011 This profile provides information about the Medical
More informationClinical Social Work Team Leader
Career Service Authority Clinical Social Work Team Leader Page 1 of 6 GENERAL STATEMENT OF CLASS DUTIES Performs supervisory duties over professional social workers engaged in performing a variety of social
More informationCreating a new model of care for a healthier Ohio
Creating a new model of care for a healthier Ohio A Collaborative Vision of Introducing Health Innovations Ohio In the true spirit of collaboration, four of Ohio s most highly regarded health systems are
More informationMANAGER OF HUMAN RESOURCES CORPORATE SERVICES
MANAGER OF HUMAN RESOURCES CORPORATE SERVICES GENERAL PURPOSE The Manager of Human Resources is responsible for the overall management and support provided through the County s Human Resources unit. The
More informationApplicants for administrative staff employment with Debevoise & Plimpton LLP
Date: November 13, 2014 To: Applicants for administrative staff employment with From: Human Resources Thank you for inquiring about administrative staff employment opportunities with Debevoise & Plimpton
More informationPima Community College District. Vice Chancellor of Human Resources
Pima Community College District Vice Chancellor of Human Resources Pima Community College seeks an innovative and strategic leader as Chief Human Resources Officer (CHRO). For more than 40 years, Pima
More informationHealth Resources in Action, Inc. Web Development Manager Position Announcement January 2015
Health Resources in Action, Inc. Web Development Manager Position Announcement January 2015 95 Berkeley Street, 2 nd Floor Boston, MA 02116 617.451.0049 Fax 617.451.0062 TTY: 617.451.0007 www.hria.org
More informationManagement Fundamentals in Healthcare Organizations
Management Fundamentals in Healthcare Organizations University of Minnesota School of Public Health LEARNING MODEL The learning model underlying the Management Fundamentals Certificate is an application
More informationRole 1 Leader The Exceptional Nurse Leader in Long Term Care:
Competencies for Nurse Leaders in Long Term Care National Validation March 2001 American Health Care Association TENA(R) Sponsorship Program from SCA Hygiene Products Part 1 Directions: Place a check mark
More informationWhatcom Alliance for Health Advancement AmeriCorps Service Placement Announcement Healthy Futures Health Care Access Intern
Whatcom Alliance for Health Advancement Service Placement Announcement Healthy Futures Health Care Access Intern June 8, 2015 -------------------------------------------------------------------------------------------------------------------------------
More informationNursing Programs and Funding Opportunities at Georgia Health Sciences University
College of Nursing College of Nursing 2 Overview Georgia Health Sciences University (GHSU) College of Nursing announces a national search to recruit a new Associate Dean for Research. We are excited to
More informationGo to http://medicare.gov/ to access the Plan Finder HOW TO USE THE MEDICARE.GOV PART D PRESCRIPTION DRUG PLAN FINDER
Go to http://medicare.gov/ to access the Plan Finder HOW TO USE THE MEDICARE.GOV PART D PRESCRIPTION DRUG PLAN FINDER In order to use the Medicare Plan Finder prepare a list of the drugs that you take
More informationPlanned Parenthood of the Southern Finger Lakes Chief Executive Officer
Planned Parenthood of the Southern Finger Lakes Chief Executive Officer Position Specification June, 2016 400 TradeCenter, Suite 5900, Woburn, MA 01801 781-938-1975 www.zurickdavis.com The Opportunity
More informationTitle: President/CEO. Location: Washington, DC. Reports to: Board of Directors. Position Summary:
Title: President/CEO Location: Washington, DC Reports to: Board of Directors Position Summary: The President/CEO of Africare has primary responsibility for the leadership and growth of this 40- year-old,
More informationHealth Plan Quality Monitoring
Health Plan Quality Monitoring Andrew L. Naugle, MBA Patty Jones, RN MBA BACKGROUND Section 1311(b) of the Patient Protection and Affordable Care Act of 2010 (ACA) detailed the intent of the federal government
More informationThe City of Miami Gardens is Drug-Free Workplace. All applicants who are selected for employment may be subject to substance screening.
Recruitment Notice The City of Miami Gardens is committed to employing a talented and diverse workforce. The City of Miami Gardens is an Equal Opportunity Employer, and as such, will not permit discrimination
More informationCore Competencies for Public Health Professionals: Tier 2
Core Competencies for Public Health Professionals: Analytical/Assessment Skills (Mid Tier) 2 1B1. Describes factors impacting the health of a community (e.g., equity, income, education, environment) [formerly
More informationThe Seven Elements of a Vendor Oversight Program
The Seven Elements of a Oversight Program DST Health Solutions September 2014 The Seven Elements of a Oversight Program The Seven Elements of a Oversight Program Medicare Advantage plans must gain efficiencies
More informationTranslating to the language of payers
Translating to the language of payers Actuarial analyses of new drug therapies Gregory Warren, FSA, MAAA Vice President, Pharmacy Actuarial Consulting 303-714-1022 gregory.warren@optum.com 1 Why are actuaries
More informationEducation Leadership (ISLLC) Standards Comparison of Old (2007) and New Standards (2015)
Education Leadership (ISLLC) Standards Comparison of Old (2007) and New Standards (2015) 2007 Standards 2015 Standards Standard 1: Vision and Mission Standard 1: Vision and Mission An education leader
More informationOrganizational Structure: Vision, Mission and Values: BCBSF COMPANY FACTS
Headquarters: Jacksonville, Florida Founded: In 1944, the Florida Hospital Service Corporation, the forerunner of Blue Cross of Florida, began operations in Jacksonville with a staff of four. In 1946,
More informationCore Competencies for Public Health Professionals
Core Competencies for Public Health Professionals Revisions Adopted: May 2010 Available from: http://www.phf.org/programs/corecompetencies A collaborative activity of the Centers for Disease Control and
More informationPerformance Factors and Campuswide Standards Guidelines. With Behavioral Indicators
Performance Factors and Campuswide Standards Guidelines With Behavioral Indicators Rev. 05/06/2014 Contents PERFORMANCE FACTOR GUIDELINES... 1 Position Expertise... 1 Approach to Work... 2 Quality of Work...
More informationExecutive Director. Massachusetts Health Council. Needham, MA
Executive Director Massachusetts Health Council Needham, MA Position Specification September, 2015 The Opportunity The Massachusetts Health Council (MHC) seeks an Executive Director (ED) to lead this highly
More informationMid-Valley Behavioral Care Network Executive Director
Together pursuing the best we can IMAGINE Mid-Valley Behavioral Care Network is seeking an experienced, professional leader to become the Mid-Valley Behavioral Care Network Executive Director Recruitment
More informationCertified Human Resources Professional Competency Framework
Certified Human Resources Professional Competency Framework Table of Contents About the CHRP 3 Application of the Competency Framework 3 Path to Obtain the CHRP 4 Maintaining the CHRP 4 Overview of the
More informationCareer Service Authority Page 1 of 6 Heating, Ventilating, and Air Conditioning (HVAC) Supervisor
Career Service Authority Page 1 of 6 Heating, Ventilating, and Air Conditioning (HVAC) Supervisor GENERAL STATEMENT OF CLASS DUTIES Performs supervisory duties over HVAC Mechanics engaged in the operation,
More informationFinal Candidate Profile Manager, Performance Management & Administration September 12, 2014
LEGACY EXECUTIVE SEARCH PARTNERS Final Candidate Profile Manager, Performance Management & Administration September 12, 2014 THE TORONTO POLICE SERVICE ORGANIZATION Legacy Executive Search Partners is
More informationSocial Work Field Education Core Competencies and Practice Behaviors
Social Work Field Education Core Competencies and Practice Behaviors The School of Social Work Field Education Program addresses each of the Council on Social Work Education (CSWE) Core Competencies and
More informationPresidential Search. Position Profile
Presidential Search Position Profile The Chancellor of the National University System and the Board of Trustees of National University invite nominations and applications for the position of President
More informationBenefit Program Summary
Benefit Program Summary The Cleveland Clinic is comprised of ten of Northeast Ohio s most prestigious hospitals and offers its employees career opportunities in state-of-the-art facilities that cover the
More informationHUMAN RESOURCES DIRECTOR TOWN OF MANSFIELD
HUMAN RESOURCES DIRECTOR TOWN OF MANSFIELD The Town of Mansfield, MA seeks a Human Resources professional to provide HR services to approximately 800 full-time and seasonal staff for both the municipal
More informationFor more information, including a general job description and application, visit the County website at http://www.co.yamhill.or.us/hr.
Yamhill County HUMAN RESOURCES / COUNTY EMPLOYMENT Location: 434 NE Evans Street Mailing Address: 535 NE 5 th Street McMinnville, Oregon 97128 (503) 434-7504 Job Line (503) 434 7553 Fax EMPLOYMENT OPPORTUNITY
More informationNational Center for Healthcare Leadership SUMMARY. Health Leadership Competency Model
National Center for Healthcare Leadership Health Leadership Competency Model SUMMARY The NCHL Health Leadership Competency Model was created through research by the Hay Group with practicing health leaders
More informationWhy choose Blue Shield?
Why choose Blue Shield? Solutions for Medicare-eligible retirees H0504_13_120A 07242013 S2468_13_120A 07242013 blueshieldca.com You ve got Medicare-eligible retirees. We ve got solutions. Affordable and
More informationChief Operating Officer. Building Vibrant Engaged Communities
Chief Operating Officer Building Vibrant Engaged Communities square feet of second floor commercial space in October 2014. The COO is responsible for finalization of new office space configurations and
More informationHire the Right Employees Manage Employee Benefits
Hire the Right Employees Manage Employee Benefits Karen Boublis HRBusinessSolutionz.com 805-404-6760 SCORE Chapter 255 Ventura County Why is hiring right important? Performance Revenue - Monetary Growth
More informationORGANIZATIONAL BACKGROUND
Executive Director Position Profile July 2015 ORGANIZATIONAL BACKGROUND St. Francis Children s Center (SFCC or the Center), a 501(c)3 founded in 1968, serves children with special needs from birth through
More informationCambridge Judge Business School Further particulars
Cambridge Judge Business School Further particulars JOB TITLE: REPORTS TO: EMBA EXTERNAL RELATIONS MANAGER EMBA EXECUTIVE DIRECTOR Background The Executive MBA (EMBA) is a major teaching programme of Cambridge
More informationHealth Coverage with More Choices
Health Coverage with More Choices Get ready for a different approach to health coverage with flexibility to choose a plan that fits your needs. This brochure explains the health coverage for Medicare-eligible
More informationOPPORTUNITY PROFILE. Clinical Manager- 2 positions. (Edmonton and Calgary)
OPPORTUNITY PROFILE Clinical Manager- 2 positions (Edmonton and Calgary) THE ORGANIZATION CBI HOME HEALTH CBI Health Group is a privately-owned leading Canadian healthcare services and management company
More informationTalent Development Lead Battle Creek, Michigan
Talent Development Lead Battle Creek, Michigan EXECUTIVE SUMMARY The W.K. Kellogg Foundation (WKKF) founded in 1930 as an independent, private foundation by breakfast cereal pioneer, Will Keith Kellogg,
More informationNorthwest Louisiana Technical College Mission, Vision, and Values Statements
Northwest Louisiana Technical College Mission, Vision, and Values Statements Mission Northwest Louisiana Technical College is an institution of higher education established to provide the citizens of northwest
More informationHUMAN RESOURCES ADMINISTRATOR (PS100828) This position is located in San Rafael, CA
POSITION: HUMAN RESOURCES ADMINISTRATOR () This position is located in San Rafael, CA SALARY RANGE: $80,281.50 to $97,051.50 Annual Salary + Benefits (37.5 hour workweek) (Employee pays up to 8% of salary/wage
More informationHow To Get A Group Insurance Plan From Tufts Health Plan
MASSACHUSETTS NEW CASE SUBMISSION CHECKLIST To help you set up your Tufts Health Plan coverage, simply submit the items listed below. Tufts Health Plan must receive all proposed sold account paperwork
More informationROLE SPECIFICATION. The American College of Greece Athens, Greece. Director of Marketing
ROLE SPECIFICATION The American College of Greece Athens, Greece Director of Marketing The American College of Greece. The American College of Greece (ACG), founded in 1875, is the oldest and largest comprehensive
More informationFounding Executive San Francisco Bay Area Learning Hub
Founding Executive San Francisco Bay Area Learning Hub Executive Summary Northeastern University seeks an entrepreneurial, innovative, and dynamic leader to serve as the Founding Executive of its first
More informationAssociate Dean, Graduate Academic & Faculty Affairs College of Professional Studies Boston, MA
Associate Dean, Graduate Academic & Faculty Affairs College of Professional Studies Boston, MA Executive Summary The College of Professional Studies at Northeastern University seeks a seasoned and innovative
More informationLOW INCOME INVESTMENT FUND. Asset Management and Underwriting Team Leader
LOW INCOME INVESTMENT FUND Position: Location: Reports to: Classification: Status: Asset Management and Underwriting Team Leader San Francisco Chief Credit Officer Exempt Regular, Full-Time POSITION SUMMARY:
More information2015 Benefits at a Glance PART-TIME EMPLOYEES
2015 Benefits at a Glance Important Note CNA Benefits at a Glance provides highlights of the employee benefit programs available to you as a CNA employee. Neither this document nor Company policies and
More informationwww.thiel.edu Dean of Enrollment
75 College Avenue Greenville, PA 16125 www.thiel.edu Dean of Enrollment Search Prospectus Fall 2015 www.thiel.edu/deanofenrollment Thiel College in Greenville, Pa., invites nominations and applications
More informationHealthPartners: Triple Aim Approach to ACO Development
HealthPartners: Triple Aim Approach to ACO Development Brian Rank, MD Medical Director, HealthPartners Medical Group October 27, 2010 HealthPartners Integrated Care and Financing System 10,300 employees
More informationBenefit and Coverage Rules Under the ACA: California vs. Federal Provisions
March Benefit and Coverage Rules Under the ACA: California vs. Federal Provisions Since passage of the federal Affordable Care Act (ACA) in 2010, California has enacted implementing state legislation in
More informationAPRIL 2015 SECTION I - 1. Section I: Introduction and Overview
Section I: Introduction and Overview About Us... I-2 Resources... I-3 Sharp Health Plan s Responsibilities... I-4 Service Area... I-4 Compliance Program... I-4 Health Care Fraud, Waste, and Abuse Prevention...
More informationCompliance Program and HIPAA Training For First Tier, Downstream and Related Entities
Compliance Program and HIPAA Training For First Tier, Downstream and Related Entities 09/2011 Training Goals In this training you will gain an understanding of: Our Compliance Program elements Pertinent
More informationWho we ARE. what WE DO. & what we ve been UP TO
Who we ARE what WE DO & what we ve been UP TO WHO WE ARE Harvard Pilgrim Health Care is one of the nation s leading not-for-profit health plans. Our passion is to make health care work better for the people
More information